| Kalyani Theivanayagam, MD | |
|
276 Woodland Ave, Summit, NJ 07901-1437 | |
| (973) 669-8181 | |
| (973) 669-1687 |
| Full Name | Kalyani Theivanayagam |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 30 Years |
| Location | 276 Woodland Ave, Summit, New Jersey |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598878910 | NPI | - | NPPES |
| 7878109 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA06857500 (New Jersey) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Barnabas Medical Center | Livingston, NJ | Hospital |
| Complete Care At Summit Ridge | West orange, NJ | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| State Of New Jersey Omb Centralized Payroll | 6406742592 | 87 |
| Manickam Ganesh Md Pa | 8921053224 | 2 |
| Entity Name | State Of New Jersey Omb Centralized Payroll |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336221878 PECOS PAC ID: 6406742592 Enrollment ID: O20040420000292 |
| Entity Name | Manickam Ganesh Md Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831384486 PECOS PAC ID: 8921053224 Enrollment ID: O20050321000190 |
| Mailing Address | Practice Location Address |
|---|---|
| Kalyani Theivanayagam, MD 276 Woodland Ave, Summit, NJ 07901-1437 Ph: (973) 669-8181 | Kalyani Theivanayagam, MD 276 Woodland Ave, Summit, NJ 07901-1437 Ph: (973) 669-8181 |
Manoj M Trivedi, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 802 Old Springfield Ave, Summit, NJ 07901 Phone: 908-273-5644 Fax: 908-273-1435 | |
Dr. Olumuyiwa Adedotun Ibikunle, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 99 Beauvoir Ave, Summit, NJ 07901 Phone: 908-522-2000 | |
Sona Khurana, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 99 Beauvoir Ave, Summit, NJ 07901 Phone: 908-522-6414 | |
Asma Jafri, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 99 Beauvoir Ave, Summit, NJ 07901 Phone: 908-522-2000 | |
David Jordanovski, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 99 Beauvoir Ave, Summit, NJ 07901 Phone: 908-522-2000 | |
Andrew Toscano, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Springfield Ave, Summit, NJ 07901 Phone: 973-656-6280 | |
Shruti P Dhorajia, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 99 Beauvoir Ave, Summit, NJ 07901 Phone: 908-522-6414 Fax: 908-598-2337 |